Organization
MIDDLESEX COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAILA CAUNE (DIRECTOR)
(732) 745-3200
Entity
Organization
Contact information
Practice address
75 BAYARD ST FL 5, OFFICE ON AGING AND DISABLED SERVICES, NEW BRUNSWICK, NJ 08901-2112
(732) 745-3200
(732) 246-5641
Mailing address
75 BAYARD ST FL 5, OFFICE ON AGING AND DISABLED SERVICES, NEW BRUNSWICK, NJ 08901-2112
(732) 745-3200
(732) 246-5641
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7716915
MOLINA MEDICAID SOLUTIONS
NJ
Enumeration date
10/03/2012
Last updated
10/03/2012
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